Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $512.86	Professional		$223.87	$338.84	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $524.81 / $1,513.56	Professional		$331.13	$524.81	$1,513.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $245.47 / $389.05	Facility		$34.67	$245.47	$389.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $40.74 / $467.74	Professional		$29.51	$40.74	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $398.11	Facility		$331.13	$331.13	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $398.11	Professional		$281.84	$281.84	$398.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $467.74	Facility		$331.13	$331.13	$467.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.84 / $331.13	Professional		$22.91	$28.84	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $181.97 / $1,122.02	Professional		$67.61	$181.97	$1,122.02
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $1,479.11	Professional		$741.31	$870.96	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $251.19 / $398.11	Facility		$34.67	$251.19	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $281.84 / $426.58	Professional		$151.36	$281.84	$426.58